Laserfiche WebLink
. . . . . ..�u^.,.isP.�:;ri1�3,�e�5A:4...,,y�:�>'.:y�.�a;a>�:.qfa�t�iF�,.Fa• . . . . . � >i <br /> CHART NO. I <br /> I <br /> i <br /> � ,�; TO POSTING +r� z� -y� <br /> s � <br /> Sewer Applicatioti,_and Permit � <br /> - ¢i i � <br /> _ -�k '� i <br /> 29d92 DATE lt/tn3 i <br /> i <br /> Service Address 1515 oakno Utiliry Account No. � <br /> Billing Address Same � <br /> I <br /> Ciry,State,Zip tY�rett W� 9b201 permitFee S '��•�� i <br /> Owner �ohn a suenn iiccrech ConnectlonCharge <br /> Conneclion by �ur Trunk S <br /> Address Lateral S— <br /> Totai Connection Charge S <br /> Phone Utiliry Development Fee I <br /> Legal Description: Water S I <br /> Lot Sewer S I <br /> Bbck Total Development Fee S li <br /> Plat i <br /> Unptatled Descdption: Sewer Bond Disirict i, <br /> Abutting Lot�Ine , <br /> - N,S,E,W h. � <br /> TypeofPermit �lcoracion/repelr Approved By �,, <br /> Rerr�arka Qrn�Ltte�l Qx�c�� `�� ��� w� IssuedBy I! <br /> ya � �� , ;� � <br /> P�� CustomerSignature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOCRS I <br /> PRIOR TO DIGGING � � � ' <br /> CALL 259-8810 FOR INSPECTION Inspec+i��A�— /�'� � <br /> Date Inspected ��-��'s� <br /> SEE SKETCH ATTACHED <br /> INSPECTION . . ����! <br />